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A Giombini, F Menotti, A Di Cesare, F Giovannangeli, M Rizzo, S Moffa, F Martinelli
This study aimed to compare short-term clinical outcomes between intra-articular injection of hyaluronic acid (HA), oxygen ozone (O2O3), and the combination of both, in patients affected by osteoarthrosis (OA) of the knee. Seventy patients (age 45-75 years) with knee OA were randomized to intra-articular injections of HA (n=23), or O2O3 (n=23) or combined (n=24) one per week for 5 consecutive weeks. KOOS questionnaire and visual analog scale (VAS), before treatment (pre) at the end (post), and at 2 months after treatment ended (follow-up) were used as outcome measures...
April 2016: Journal of Biological Regulators and Homeostatic Agents
Saurabh Sharma, Mukesh Tiwari, Hemant Chaturvedi
OBJECTIVE: To evaluate the functional outcome and extensor apparatus of operative management of intra-articular fractures of distal humerus using modification of the Triceps Tongue Flap approach. METHODS: This prospective study was conducted between June, 2012 to April,2014 in NIMS Medical College and Hospital, Jaipur, Rajasthan(India). We included 23 patients with intraarticular fractures of distal humerus that were managed surgically. Modification of Triceps Tongue Flap approach with Triceps flap in inverted 'V' shape was used...
October 2015: Bulletin of Emergency and Trauma
L A Bryden, J R Nicholson, H Doods, A Pekcec
OBJECTIVE: To characterize deficits in burrowing behavior - an ethologically-relevant rodent behavior - in the monosodium iodoacetate (MIA) rat model of osteoarthritis (OA), and the sensitivity of these deficits to reversal by analgesic drugs of both prototypical and novel mechanisms of action. A second objective was to compare the burrowing assay to a spontaneous locomotor activity (sLA) assay. METHOD: Male Wistar Han rats (200-220 g) received intrarticular (i...
September 2015: Osteoarthritis and Cartilage
Nicholas J Kennedy, Paul J Healy, Andrew A Harrison
AIM: To review inpatient management of acute gout in a New Zealand hospital. METHODS: A retrospective file review of all acute episodes of gout at Hutt Hospital, Wellington, New Zealand over a 1 year period. RESULTS: In the course of a year, there were 90 admissions for, or complicated by, acute gout. In 31 cases, gout was the primary diagnosis. Median length of stay was 5 days and readmissions were common. The majority of patients (87%) were known to have gout before admission, yet only 50% of these patients were on uric acid lowering treatment...
February 2016: International Journal of Rheumatic Diseases
Christoph J Laux, Georg Osterhoff, Clément M L Werner
The sacroiliac joints are causative for 13-30% of cases with low back pain and are still disregarded in the differential diagnosis. This is mainly due to its complex anatomy and the variety of pain patterns originating from the SI joints. The broad etiology of low back pain often misleads the physician into inadequate treatments. This article reviews the clinical presentation of patients suffering from a sacroiliac arthropathy and points out therapeutic strategies. It also provides a helpful diagnostic tool in daily routine...
January 2, 2015: Praxis
Tang Liu, Qing Zhang, Xiaoning Guo, Xiangsheng Zhang, Zhihong Li, Xiaoyang Li
BACKGROUND: The purpose of this study was to compare the outcome, complications and survival of the commonly used surgical reconstructions of the proximal humerus after intrarticular tumour resection in our hospital. METHODS: Between 1998 and 2010, 41 consecutive proximal humeral reconstructions using prosthesis (group P, n = 25) or recycled pasteurized autograft combined with non-vascularised fibula autograft (group B, n = 16) were performed. RESULTS: The mean follow-up was 57...
March 7, 2014: BMC Musculoskeletal Disorders
Aleksandar Bozović, Milan B Mitković, Rade Grbić, Aleksandar Vasić, Ljubomir Jaksić, Dusan Petrović, Goran Radojević, Dragisa Milović, Vladimir Adzić
UNLABELLED: The study included 35 patients with fractures of distal tibia treated at the department of orthopedics HC K. Mitrovica and the Orthopedic clinic in CHC of Nis by a dynamic external fixator fixation of ancle. Ovadia-Beals score was used to assess the quality and repositioning and to assess the stability assessment made osteosynthesis. The final functional result of treatment the patient was determined based on the AOFAS score. Deviations for postoperative talocrural angle for extraarticular fractures was approximately 6 degrees (excellent result)...
2013: Acta Chirurgica Iugoslavica
R Saggini, A Di Stefano, T Cavezza, G Saladino, R G Bellomo
Knee osteoarthritis is a major cause of disability in the elderly. Many therapies are nowadays available, ranging from non-pharmacologic to pharmacological approaches like visco-supplementation, oral supplements or topical treatments, but a flawless treatment is still to be found. Visco-supplementation represents a valid treatment option for reducing pain associated with knee osteoarthritis and improving function in the affected joint. Many literature data report on the efficacy and safety profiles of hyaluronic acid in knee osteoarthritis, however the efficacy of intra-articular hyaluronic acid remains controversial, in fact while several clinical trials claimed a disease-modifying effect for hyaluronic acid, subsequent meta-analyses have cast doubts on this fact...
April 2013: Journal of Biological Regulators and Homeostatic Agents
Shawn Rose, Emily A Waters, Chad R Haney, C Thomas J Meade, Harris Perlman
OBJECTIVE: The ability to noninvasively monitor the development of inflammatory arthritis longitudinally has become increasingly important in experimental rheumatology. Magnetic resonance imaging (MRI) allows for detailed examination of anatomic structures, as well as the assessment of joint and soft tissue inflammation. The aim of this study was to extend the use of MRI to include quantitative measurements of bone destruction in murine ankle joints. METHODS: Joint disease was measured serially using clinical, histologic, in vivo imaging system (IVIS), micro-computed tomography (micro-CT), and MRI techniques in mouse ankle joints, using the K/BxN serum transfer-induced acute arthritis and K/BxA(g7) chronic arthritis models...
September 2013: Arthritis and Rheumatism
J I Torrero, F Aroles, D Ferrer
Application of new biological treatments in orthopaedics is controversial nowadays. Surgeons and practitioners know how difficult can be to choose a solution for chondral injuries. Joint damages are from little contusions, osteochondral fractures, avascular necrosis, osteochondritis and degenerative processes like osteoarthritis and rheumatisms. All mentioned have a common problem: the lack of regenerating hyaline cartilage by themselves. Recently, PRP have been used to treat early moderate chondropathies. Here we show the preliminary results of 30 patients affected by chondropathy of the knee after 6 months treated with a single intrarticular injection of PRP...
April 2012: Journal of Biological Regulators and Homeostatic Agents
Andrzej Zyluk, Bernard Piotuch
An injury to the ligament linking the scaphoid with the lunate is the most common and and budrened with the most negative sequelae cause of the carpal instability. It occurs most frequently as an associated injury at fractures of the distal radius. A review of methods of treatment of the pathology is provided, according to clinical advancement, duration form original trauma and condition of articular structures. Technical complexity of methods is directly related to severity of intrarticular changes. In early, dynamic instabilities, a simple, temporary scapholunate arthrodesis with K-wires is is an useful procedure, preventing further development of chronic instsbility...
October 5, 2012: Polish Orthopedics & Traumatology
Shereen Amin, Mohamed Yosry, Dash Iman El
UNLABELLED: Effective pain relief is important after diagnostic and therapeutic arthroscopic knee surgery to permit early discharge and improve comfort and mobility at home. We compared the intraarticular analgesic effects of ropivacaine and morphine with or without Xefocam and the need for rescue i.v. morphine at rest and during movement in patients undergoing anterior cruciate ligament reconstruction under spinal anesthesia. Anterior cruciate ligament reconstruction (ACLR) is associated with moderate to severe postoperative pain...
February 2011: Middle East Journal of Anesthesiology
Marc J Richard, Daniel A Wartinbee, Jonathan Riboh, Michael Miller, Fraser J Leversedge, David S Ruch
PURPOSE: To evaluate whether there was a difference in complication rates in our patients treated with external fixation versus volar plating of distal radius fractures. We also looked for a difference in radiographic results; in the clinical outcomes of flexion, extension, supination, pronation, and grip strength; and in scores on the visual analog scale (VAS) for pain and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. METHODS: We reviewed 115 patients with comminuted intrarticular distal radius fractures...
October 2011: Journal of Hand Surgery
Aleš Chrdle, Martin Stárek
A 74-year-old male with type 2 diabetes, coronary artery disease with history of CABG, hypertension and chronic obstructive pulmonary disease had total left hip replacement in another medical facility five years prior to admission. Since the early postoperative period, he had manifestations of dormant infection and was with empirical antibiotics. On the index admission, his X-ray showed signs of loosening of the prosthetic components with resorption of the bone. Periprosthetic infection was managed by a two-stage surgery...
April 2011: Klinická Mikrobiologie a Infekc̆ní Lékar̆ství
Bhavya Rehani, Robert Wissman
Lead poisoning from gunshot wounds is unusual. Awareness of this rare but serious complication can guide the physician in making a prompt diagnosis. We present a case of a 30-year-old male who had a remote history of a gunshot wound in the right knee and presented with right knee pain. Plain film showed intrarticular invasion of the bullet fragments. He was also found to have microcytic anemia with high blood lead levels. Chelation therapy was immediately started, followed with surgical removal of the bullet fragments...
January 2011: Southern Medical Journal
D Manfredini, L Guarda-Nardini
This review summarizes knowledge on the accuracy and clinical usefulness of ultrasonography (US) for the diagnosis of temporomandibular joint (TMJ) disorders. A systematic search in the National Library of Medicine's Database was performed to identify all peer-reviewed papers in the English literature that assessed the accuracy of US with respect to magnetic resonance (MR), computerized tomography (CT), clinical assessment or autopsy specimens for the diagnosis of TMJ disk displacement, effusion and osteoarthrosis...
December 2009: International Journal of Oral and Maxillofacial Surgery
G Guglielmi, A Cascavilla, G Scalzo, F Salaffi, W Grassi
OBJECTIVE: To retrospectively evaluate the role of the various imaging techniques in the study of the sternocostoclavicular joint, in patients with spondyloarthropathies and other rheumatic conditions and to assess potential pitfalls in the radiological diagnosis. SUBJECTS AND METHODS: Thirty patients, 11 male and 19 female, mean age 45 years, with involvement of the sternocostoclavicular joint as part of rheumatologic disorders (psoriatic arthritis, ankylosing spondylitis, Tietze syndrome, SAPHO syndrome, and condensing osteitis of the clavicle) were studied...
May 2009: Clinical and Experimental Rheumatology
Arturo Almazan, Juan Pablo Herrera, Carlos Chaidez, Francisco Cruz, Francisco Perez, Clemente Ibarra
BACKGROUND: One potential complication of interference devices to fix anterior cruciate ligament (ACL) grafts is divergence between the implant and the graft-tunnel. Tunnel-screw divergence >15-30 degrees significantly reduces graft-tunnel fixation and may compromise the stability of the knee. CASE REPORT: A complication of the IntraFix device is presented. A 43-year-old male sustained a primary ACL reconstruction. The autologous hamstring graft was fixed in the tibia with the IntraFix device...
January 2009: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Piotr Koprowski, Mirosław Kulej, Patryk Romaszkiewicz, Szymon Dragan, Artur Krawczyk, Adam Prastowski
Background. Hindfoot dysfunction after intrarticular fracture of calcaneus are evokated by disturbances of muscle balance caused by change of bone shape and disturbances of talo-calcanear join function caused by secondary arthrosis of the joint. Goal of fracture treatment is restoring joint surfaces and the shape of calcaneus. It allow restoring function of foot and a correct gait. Material and methods. In the years 1997-2002 in Department of Orthopedic and Traumatology of Wrocław Medical University 45 patients with intrarticular fractures of calcaneus were treated...
August 30, 2004: Ortopedia, Traumatologia, Rehabilitacja
L Riente, A Delle Sedie, E Filippucci, A Iagnocco, G Meenagh, W Grassi, G Valesini, S Bombardieri
Musculoskeletal ultrasound (US) has an increasingly important role in the assessment of spondyloarthritis (SpA) not only for its ability to detect synovial and tendon involvement but also for the accurate imaging of enthesitis, the clinical hallmark feature of SpA. As already known, most cases of enthesitis are subclinical in SpA and US is an effective technique used to detect them. Also, in cases of dactylitis, US can accurately delineate the underlying pathology. US allows clinicians to guide needle positioning within inflamed joints, tendon sheaths and entheses in order to inject steroids or other drugs...
May 2007: Clinical and Experimental Rheumatology
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